Provider Demographics
NPI:1679708143
Name:QUARTARONE, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:QUARTARONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 FOAM ST
Mailing Address - Street 2:#1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7505
Mailing Address - Country:US
Mailing Address - Phone:831-402-3330
Mailing Address - Fax:
Practice Address - Street 1:535 FOAM ST
Practice Address - Street 2:#1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7505
Practice Address - Country:US
Practice Address - Phone:831-402-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist